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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

This means improving health and wellbeing for all— strengthening equity & rights while sustaining solidarity and resilience amid crises. Our unifying approach is designed not for the world as we wish it was, but for the complex and ever-evolving landscape it will continue to be. 🔗: www.nature.com

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

The true test of reform is not whether it satisfies those who established the current system, but whether it serves those without whom the current system was designed. Half the world still lacks access to essential health services. Tomorrow's institutions must close this gap. 🔗: www.nature.com

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

The subordination of health to short-term defence, trade, and foreign policy priorities necessitates a broader forum for rethinking. Health reform disconnected from the geopolitical forces that shape it will be rendered irrelevant by them. 🔗: www.nature.com/articles/s44...

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

We propose complementary reform tracks: 🔳 Independent head-of-state-led initiatives to push bold reforms with ongoing oversight 🔳 The WHO-hosted process to operationalise within its remit 🔳 The WHA as a legitimising anchor 🔳 The UNGA connecting health to climate, humanitarian, and security agendas

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

Global health architecture reform should be built to navigate an era of fragmentation rather than to overlook it. In practice, this means designing reforms that can function even when universal consensus fails. 🔗: www.nature.com/articles/s44...

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On rebuilding trust: trust receives little attention in reform discussions. Without it, rebalanced power becomes contested legitimacy and reinforced systems become empty infrastructure. From the confronting the DRC Ebola outbreak to bilateral transactionalism, rebuilding trust is crucial. 🔗:

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On reinforcing systems: institutions are built to solve yesterday's emergencies. Donors prefer quick wins. Recipients accept misaligned aid to avoid losing funding. Governance rewards self-preservation over collaboration. A political economy that rewards fragmentation must be confronted. 🔗:

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On rebalancing power: sovereignty in global health is not the rejection of cooperation — it is the precondition for participating in it as an equal. Yet health decision-making sits far from communities. Regional orgs and nonstate actors remain excluded despite being essential to delivery. 🔗:

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

We propose three interlocking transformations without which reform is unlikely to take root: rebalancing power, reinforcing systems, and restoring trust. We further conclude that complementary, mutually accountable reform tracks are needed to sustain effective uptake. 🔗: www.nature.com

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

Calls for health reform have therefore multiplied, yet remain dangerously uncoordinated and ill-equipped to address geopolitical problems. Without a unifying process, reform risks becoming a hollow exercise, with parallel proposals competing for attention. 🔗: www.nature.com/articles/s44...

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

Development assistance for health dropped by 33% between 2023-2025. Millions of preventable deaths are forecast — reversing decades of progress. Our systems are deeply fragmented, insufficiently aligned with country priorities and poorly equipped to manage overlapping threats. 🔗: www.nature.com

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

The global health architecture is under strain. Pandemic threats, climate change, armed conflict, economic inequality and geopolitical tensions are intersecting at a moment of eroding multilateralism. This generates compounding risks that respect neither borders nor sectors. 🔗: www.nature.com

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

🚨New in @nature.com Health: Reforming global health for an age of mistrust, fragmentation, and overlapping crises. Reform should not be reduced to doing less with less. It must be honest about its problems and ambituous about its scope and solutions. 🔗: www.nature.com/articles/s44...

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On trust: trust receives little attention in reform discussions. Without it, rebalanced power becomes contested legitimacy and reinforced systems become empty infrastructure. From the confronting the DRC Ebola outbreak to bilateral transactionalism, rebuilding trust is crucial.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On systems: institutions are built to solve yesterday's emergencies. Donors prefer quick wins. Recipients accept misaligned aid to avoid losing funding. Governance rewards self-preservation over collaboration. A political economy that rewards fragmentation must be confronted.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

On power: sovereignty in global health is not the rejection of cooperation — it is the precondition for participating in it as an equal. Yet health decision-making sits far from communities. Regional orgs and nonstate actors remain excluded despite being essential to delivery.

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

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Arush Lal, PhD @arushlal.bsky.social · 02/09/2026

nature.com

Reforming global health for an age of mistrust, fragmentation and overlapping crises - Nature Health

To move from debate to delivery, global health architecture reform must rebalance power, reinforce systems and restore trust, with a sharper focus on managing geopolitics and emerging threats.

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Arush Lal, PhD @arushlal.bsky.social · 02/02/2026

What began as a crisis of resources now risks becoming a crisis of direction for global health governance. My latest op-ed argues for the World Health Assembly to initiate a time-bound, member state-led process to unify fragmented global health architecture reforms. blogs.lse.ac.uk/globalhealth...

blogs.lse.ac.uk

It is time for a World Health Assembly resolution on global health architecture reform - LSE Global Health

Ahead of this week’s World Health Organization (WHO) Executive Board meeting, Dr Arush Lal (Visiting Fellow, LSE Health) argues for the adoption of a resolution to support coordination of fragmented g...

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Reposted by Arush Lal, PhD

LSE Health Policy @lsehealthpolicy.bsky.social · 07/01/2026

📣New research in Health Policy & Planning by @arushlal.bsky.social examines how diplomacy & governance can build a more coherent global health architecture – through the lens of aligning GHS & UHC. 🔗 Read in full: bit.ly/4q4X1WV

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Reposted by Arush Lal, PhD

Action for Global Health @afghnetwork.bsky.social · 05/01/2026

Repairing Global Health Security at the Humanitarian Frontline Reorienting the global preparedness system to include humanitarian settings requires conceptual and operational shifts @thinkglobalhealth.org www.thinkglobalhealth.org/article/repa...

thinkglobalhealth.org

Repairing Global Health Security at the Humanitarian Frontline | Think Global Health

Reorienting the global preparedness system to include humanitarian settings requires conceptual and operational shifts

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Arush Lal, PhD @arushlal.bsky.social · 22/12/2025

Delighted to share that I’ve been appointed a Visiting Fellow @lsehealthpolicy.bsky.social! I’ll be focusing on the politics of health diplomacy and global health architecture reform in an era of overlapping crises. 🌍 If this sounds interesting, let’s collaborate ⬇️ www.lse.ac.uk/people/dr-ar...

lse.ac.uk

Dr Arush Lal

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Reposted by Arush Lal, PhD

The Elders @theelders.bsky.social · 21/11/2025

ELDERS’ STATEMENT | Elders warn against bilateral pandemic deals that could impact multilateral cooperation Decisions taken now will determine whether all people are protected from pandemic threats. Read the statement here: theelders.org/news/elders-...

Elders’ Statement | 21.11.2025
Elders warn against bilateral pandemic deals that could impact multilateral cooperation

Elders’ Statement | 21.11.2025

“Parallel systems created through bilateral agreements should not undermine the foundations of global preparedness and response being built at the multilateral level. Once multilateralism is hollowed out, it is hard to rebuild...Decisions taken now will determine whether the world can build a future of shared safety and collective action, and whether all people are protected from pandemic threats.”

Read in full via theelders.org

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Reposted by Arush Lal, PhD

The Elders @theelders.bsky.social · 11/12/2025

ELDERS’ STATEMENT | Gaza “ceasefire” rings hollow as all Palestinians face security catastrophe “The Elders condemn Israel’s continued military attacks and obstruction of aid in Gaza, two months after the ceasefire agreed.” Read the statement in full: theelders.org/news/gaza-ce...

Elders’ Statement | 11.12.2025
Gaza “ceasefire” rings hollow as all Palestinians face security catastrophe

Elders’ Statement | 11.12.2025
ISRAEL/PALESTINE

“Palestinians in Gaza have little sense that the ceasefire is working. Their suffering risks increasing even further if the current process fails. Without targeted measures against extremists on both sides, progress towards a just and lasting peace will remain out of reach.”

Read in full via theelders.org

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Reposted by Arush Lal, PhD

Maryam Aldossari @maryamaldossari.bsky.social · 21/12/2025

The Israeli military killed six Palestinians, including a baby, who were in a school that sheltered displaced people in Gaza City on Friday. www.theguardian.com/world/2025/d...

theguardian.com

Israeli troops kill six Palestinians sheltering in Gaza school, say hospital chiefs

Attack brings total number of Palestinians killed by Israel to 401 since October ceasefire took effect

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Arush Lal, PhD @arushlal.bsky.social · 12/12/2025

This #UHCDay, @katribertram.bsky.social and I argue that UHC offers a unifying vision to underpin global health reform efforts — advancing sovereignty, equity & resilience. Without shared direction, reform risks stalling in fragmentation and fatigue. Our op-ed out now @ihpnetwork.bsky.social ⬇️

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

This was my third & final PhD paper from my broader thesis on hybrid norms & the politics of integration. Thank you to my supervisors & examiners: Clare Wenham, @justinparkhurst.bsky.social, @benjaminmasonmeier.bsky.social, Jeremy Shiffman And to all participants + @lsehealthpolicy.bsky.social!

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

If you’re working on: 🔹 Health systems & fragmentation 🔹 Architecture reform & financing 🔹 Norms, diplomacy, governance 🔹 Future of multilateral cooperation 🔹 Cross-sector alignment (dev, climate, conflict) I hope this offers useful insights – and a call to action. doi.org/10.1093/heapol/czaf086

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

In an age of austerity, nationalism, and polycrisis, global health can’t afford to stay siloed. I hope this work informs how we build a more coherent — and ultimately more equitable and resilient — global health architecture. 🔗: doi.org/10.1093/heapol/czaf086

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

In short: This is about more than GHS and UHC. It’s about how global health governance can adapt to intersecting crises – by building shared power, rethinking mandates, and managing complexity through diplomacy. Architecture reform must address the politics underpinning it.

doi.org

Towards a coherent global health architecture: perspectives on integrating global health security and universal health coverage through diplomacy and governance reforms

Abstract. Within the global health landscape exists a complex interplay between global health security (GHS) and universal health coverage (UHC)—two influe

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

The paper also offers practical insights and ideas, such as: 🧩 Integrated national planning 📊 Pooled financing across verticals 🌍 Regional hubs for PHC + epidemic preparedness 🤝 Health diplomacy that fosters shared legitimacy 🔗: doi.org/10.1093/heapol/czaf086

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

This offers three levers for building a more coherent global health architecture: 1️⃣ Rebalance power → regionally anchored, country-led leadership 2️⃣Coordinate actor roles strategically → complementary mandates, joint planning 3️⃣ Integrative diplomacy → coherence as a norm

doi.org

Towards a coherent global health architecture: perspectives on integrating global health security and universal health coverage through diplomacy and governance reforms

Abstract. Within the global health landscape exists a complex interplay between global health security (GHS) and universal health coverage (UHC)—two influe

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

So what’s the path forward? This GHS–UHC hybrid norm could be a tool to: ✅ Dismantle GN-GS power asymmetries ✅ Align actors across silos ✅ Promote integrative diplomacy in an age of polycrisis But only if it’s embedded deliberately and as a regular practice. 🔗: doi.org/10.1093/heapol/czaf086

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

This GHS-UHC ‘hybrid norm’ is already influencing: 🧾 Joint strategies 💰 Budget lines 🏛️ Institutional mandates 🤝 Diplomatic practice But this norm isn’t fully formed. Coherence is constantly shaped, resisted, and redefined — based on incentives and sustained engagement.

doi.org

Towards a coherent global health architecture: perspectives on integrating global health security and universal health coverage through diplomacy and governance reforms

Abstract. Within the global health landscape exists a complex interplay between global health security (GHS) and universal health coverage (UHC)—two influe

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

Findings suggest a new ‘hybrid norm’ is emerging – blending security with equity, resilience with access. This can be fresh and useful way to understand how global cooperation happens amid fragmentation — and how to sustain it. 🔗: doi.org/10.1093/heapol/czaf086

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Arush Lal, PhD @arushlal.bsky.social · 08/12/2025

Diverse experiences with power and priorities are crucial to unpack: 🔹 GN donors still dominate funding 🔹 GS governments often lack voice 🔹 Civil society push for equity, but lack resources 🔹 Multilateral actors emphasized metrics + efficiency. This paper crucially begins to map these gaps.

doi.org

Towards a coherent global health architecture: perspectives on integrating global health security and universal health coverage through diplomacy and governance reforms

Abstract. Within the global health landscape exists a complex interplay between global health security (GHS) and universal health coverage (UHC)—two influe

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